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How to fill out the Member Withdrawal Application Form - Anglovaal Group Medical online
Completing the Member Withdrawal Application Form is an essential step for users looking to withdraw their membership from the Anglovaal Group Medical Scheme. This guide will provide you with precise instructions on filling out the form online to ensure a smooth process.
Follow the steps to successfully complete the application form.
- Press the ‘Get Form’ button to obtain the Member Withdrawal Application Form and open it in your preferred editor.
- In section A, provide the employer contact details. Fill in the name, designation, telephone number, fax number, and email address of the person who will receive correspondence during the application process. Select the preferred means of communication by ticking the appropriate box.
- Move to section B to fill out the applicant's details. Include the principal member's name, membership number, and employee number. Ensure all information is clear and correct.
- In section C, fill in the details for the withdrawal. Specify the effective date by providing the day, month, and year as per the required format. Also, list the initials and surname, date of birth, participation status, and the reason for withdrawal. Remember, submissions should not be backdated and must be provided at least three weeks in advance.
- Proceed to section D to provide banking details for any applicable Medical Savings Account payback. Include the bank name, branch name, account number, branch code, and account holder name and ID number. Remember, credit card accounts are not accepted, and you must use a South African bank account.
- Affirm understanding by signing as the account holder and the principal member, if applicable. Make sure all signatures are clear.
- Finally, include your postal address for future correspondence. Once all sections are completed, ensure to review the application for accuracy and comprehensiveness.
- After completing the application, you may choose to save changes, download, print, or share the form as necessary.
Complete your documents online to ensure a timely application process.
To obtain a Member Withdrawal Application Form - Anglovaal Group Medical, you can visit the official Anglovaal Group website. There, you will find the necessary resources to download the form securely. If you prefer, you can also contact their customer support for assistance with the withdrawal process. They will guide you through the necessary steps to ensure your needs are met.
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